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Program E: University Medical Center

Program Authorization: R.S. 36:254,258, 259; 40:2002,2014; Act 3 of 1997

PROGRAM DESCRIPTION

The mission of the University Medical Center is to provide quality and timely medical care in a responsible and cost effective manner to all patients, regardless of their financial status. The Medical Center is committed to systematic, coordinated, and continuous improvement of patient outcomes.

The goal of University Medical Center is to provide the quality health care to the community in the most effective and efficient manner possible.

The State of Louisiana purchased St. John Hospital in 1937 to become a provider of last resort for Southwest Louisiana. The newly acquired hospital became know as Lafayette Charity Hospital until a final name change in 1982 to University Medical Center (UMC). The new name came with a larger building on the current site of Congress and Bertrand in Lafayette, Louisiana. On July 1, 1997, the Louisiana State University Medical Center formed the Health Care Services Division as a result of Act 3 of 1997, which includes University Medical Center.

Today, University Medical Center continues as an acute care provider of last resort for all citizens in Southwest Louisiana and as an educational site for six residency programs of the LSU School of Medicine in New Orleans. The facility provides additional support functions such as pharmacy; blood bank; respiratory therapy; anesthesiology; and various diagnostic services and other support functions on a non-medical nature, such as administration; maintenance; housekeeping; mail service; purchasing; accounting; admissions and registration. The facility also maintains a stipend program for medical residents and contracts for physician and anatomical services and works cooperatively with medical schools and other health education institutions to broaden the opportunity for clinical training in the hospital.

For many years, people who are without resources or health insurance have received medical care at UMC. Many patients who have Medicaid insurance are unable to receive medical care from physicians in their local communities. Therefore, years ago UMC organized, at the main campus, a wide range of primary and specialty outpatient clinics for these patients. Several small rural hospitals will accept Medicaid, but many of their physicians will not. UMC patient satisfaction surveys reveal strong customer satisfaction.

University Medical Center serves its patients as their "family physician" and as their acute care hospital. UMC serves the following parishes: Acadia, Evangeline, Iberia, Lafayette, St. Martin, St. Landry, Vermilion, and St. Mary. The hospital is currently staffed for 141 beds, and is a teaching hospital affiliated with the LSU School of Medicine in New Orleans

 

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

 

 

 

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program is funded with Interagency Transfers, Self-generated Revenue and Federal Funds. The Interagency Transfers represent Title XIX reimbursement from the Medicaid program for services provided to Medicaid eligible and "free care" patients. The Self-generated Revenue represents insurance and self pay revenues for services provided to patients who are not eligible for "free care". The Federal Funds are derived from Title XVIII, Medicare payments for services provided to Medicare eligible patients.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$0

$59,128,983

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$0

$59,128,983

0

 

EXISTING OPERATING BUDGET - November 20. 1998

 

 

 

 

 

$0

$500,760

0

 

Annualization of FY 1998-1999 Classified State Employees Merit Increase

$0

$513,459

0

 

Classified State Employees Merit Increases for FY 1999-2000

$0

($1,012,141)

0

 

Risk Management Adjustment

$0

$593,000

0

 

Acquisitions and Major Repairs

$0

($835,000)

0

 

Nonrecurring Acquisitions and Major Repairs

$0

$1,364

0

 

Legislative Auditor Fees

$0

$2,193

0

 

UPS Fees

$0

$1,886,057

0

 

Salary Base Adjustment

$0

($972,472)

0

 

Attrition Adjustment

$0

($1,807,171)

(58)

 

Personnel Reductions

$0

$7,196

0

 

Civil Service Fees

$0

$44,237

0

 

Other Adjustments - Fund equipment maintenance contracts

$0

$17,180

0

 

Other Adjustments - 1% House Officer Stipend increase to the Southern Regional Average for public hospitals

$0

$436,150

0

 

Other Adjustments - Increase transfer of Ryan White Federal Funds from the Office of Public Health for HIV medications

$0

$0

851

 

Other Technical Adjustments - Transfer positions from Administration to reflect appropriate T.O. by hospital

 

 

 

 

 

$0

$58,503,795

793

 

TOTAL RECOMMENDED

         

$0

($625,188)

793

 

DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 98.9% of the existing operating budget. It represents 83.6% of the total request ($69,955,791) for this program. The major reason for the overall decrease is a reduction in Risk Management premiums and a reduction of 58 vacant positions. This decrease is offset by a 1% House Officer stipend increase to the Southern Regional average for public hospitals, the transfer of additional Ryan White Federal Funds from the Office of Public Health for HIV medications and an increase in funding for equipment maintenance contracts. The changes should have no significant impact on the delivery of services.

PROFESSIONAL SERVICES

$7,000

 

S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organizations consulting services

$3,000

 

Beullieu and Associates for engineering services

$1,555,106

 

C & M Emergency Medical Services for emergency room staffing, operation and management

$128,710

 

Sarita Sharma-Choudry Neonatology physician service for the Neonatal Intensive Care Unit

$128,710

 

Parvin Safari Neonatology physician services for the Neonatal Intensive Care Unit

$12,000

 

Burch McQuitty for interpretation of lab test

$12,000

 

Linqua Translation and Training for translation services for patients

$12,000

 

Robert Martinez for EEG's

$10,000

 

Steven Snatic for EEG's

$5,000

 

Deaf Action Center for interpreter services

$19,260

 

Diocese of Lafayette for chaplain services

 

 

 

$1,892,786

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$23,962

 

Legislative Auditor expenses

 

 

 

$23,962

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$6,649,679

 

Payments to LSU Medical Center for physician services and supervision of house officers

$2,519,989

 

Payments to LSU Medical Center for house officer salaries

$134,000

 

Payments to LSU Medical Center for emergency room staffing

$266,545

 

Payments to LSU Medical Center for occupational therapy

$1,330,000

 

Payments to the Office of mental health for operation of the acute psychiatric inpatient unit

$71,302

 

Payments to the Department of Civil Service

$25,064

 

Payments for the Uniform Payroll System expenses

$6,613

 

Payments to the Comprehensive Public Training Program

 

 

 

$11,003,192

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$593,000

 

Funding for replacement of inoperable and obsolete equipment

 

 

 

$593,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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